Nursing Dx

Taxonomy II: Coping/Stress Tolerance—Class 2 Coping Responses (00074)
[Diagnostic Division: Social Interaction]
Submitted 1980; Revised 1996

Definition: Usually supportive primary person (family member or close friend [SO]) provides insufficient, ineffective, or compromised support, comfort, assistance, or encouragement that may be needed by the client to manage or master adaptive tasks related to his/her health challenge

Related Factors
Inadequate or incorrect information or understanding by a primary person

Temporary preoccupation by a significant person who is trying to manage emotional conflicts and personal suffering and is unable to perceive or act effectively in regard to client’s needs
Temporary family disorganization and role changes
Other situational or developmental crises or situations the significant person may be facing
Little support provided by client, in turn, for primary person
Prolonged disease or disability progression that exhausts the supportive capacity of SO(s)
[Unrealistic expectations of client/SO(s) or each other]
[Lack of mutual decision-making skills]
[Diverse coalitions of family members]

Defining Characteristics
SUBJECTIVE
Client expresses or confirms a concern or complaint about SO’s response to his or her health problem
SO describes preoccupation with personal reaction (e.g., fear, anticipatory grief, guilt, anxiety) to client’s illness/disability or other situational or developmental crises
SO describes or confirms an inadequate understanding or knowledge base that interferes with effective assistive or supportive behaviors
OBJECTIVE
SO attempts assistive or supportive behaviors with less-thansatisfactory results
SO withdraws or enters into limited or temporary personal communication with the client at the time of need
SO displays protective behavior disproportionate (too little or too much) to the client’s abilities or need for autonomy
[SO displays sudden outbursts of emotions/shows emotional lability or interferes with necessary nursing/medical interventions]